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Nasopharyngeal carcinoma presented as cavernous sinus tumour.

Abstract

A 32 year Libyan male presented with the complaints of headache and diplopia. He was diagnosed with a cavernous sinus meningioma on the basis of MRI findings but no initial biopsy was taken. Depending on the radiologic diagnosis the patient was treated with gamma knife surgery twice, abroad. During follow up he developed left ear deafness and left cervical lymph adenopathy. An ENT evaluation with biopsy from the nasopharynx and cervical lymph node was taken. The histopathologic diagnosis of the resected tumour showed a nasopharyngeal carcinoma with cervical lymph node metastasis (poorly differentiated lympho-epithelial carcinoma). The cavernous sinus tumour which was initially treated as a meningioma was in fact metastasis from the nasopharyngeal carcinoma, making this an interesting and rare occurrence.

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  • Authors

    Moona MS, Mehdi I

    Source

    JPMA. The Journal of the Pakistan Medical Association 61:12 2011 Dec pg 1235-6

    MeSH

    Adult
    Cavernous Sinus
    Diagnostic Errors
    Humans
    Male
    Meningeal Neoplasms
    Meningioma
    Nasopharyngeal Neoplasms

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22355975